Ahmar, Ayesha R

Ahmar, Ayesha R is an individual health care provider with primary practice located at 1349 S International Pkwy Suite 1411, Lake Mary FL 32746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ahmar, Ayesha R can be contacted via phone (407) 333-3360.

Contact Information

Primary practice address
1349 S International Pkwy Suite 1411 Lake Mary FL 32746
Phone: (407) 333-3360
Fax: (407) 333-2920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME79324 Florida

Profile Details

NPI number 1215955000
LBN Legal business name Ahmar, Ayesha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215955000 NPPES
Other 593745750 TAX ID
MEDICAID 262674800 TAX ID

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